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KMID : 0387320150250030162
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Korean Journal of Health Policy and Administration
2015 Volume.25 No. 3 p.162 ~ p.173
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The Factors Related to the Non-Practice of Cancer Screening in Cancer Survivors: Based on the 2007-2012 Korean National Health and Nutrition Examination Survey
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Yang Song-Ei
Han Nam-Kyung
Lee Sun-Mi
Kim Tae-Hyun
Chung Woo-Jin
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Abstract
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Background: The aim of the current study was to investigate the factors related to the non-practice of cancer screening in cancer survivors, who are at high risk of developing second cancers.
Methods: This study is a cross-sectional analysis of 1,125 cancer survivors ≥19 years old who participated in the Korean National Health and Nutrition Examination Surveys IV and V (2007-2012). A Rao-scott chi-square test and a survey logistic regression analysis were employed respectively to analyze the difference of cancer survivors in cancer screening by each characteristic and the factors related to the non-practice of cancer screening in cancer survivors.
Results: Among total subjects, 33.5% did not participate in cancer screening in the last two years. Results from a fully adjusted logistic model showed that the non-practice of cancer screening in cancer survivors was significantly associated with variables such as sex, age, marital status, education level, monthly income, and drinking a alcoholic beverage Specifically, the odds ratio of non-practice of cancer screening was higher in males than in females, in the younger group than in older group, in the group with no spouse than in the group with a spouse; in a group with a low level of education than in a group with a high level of education; in a group with the lowest income level than in a group with the other levels of income; or in non-drinkers than in drinkers.
Conclusion: Health policies to reduce the non-practice rate of cancer screening in cancer survivors should be designed and implemented with close attention to cancer survivors’ socio-economic characteristics such as sex, age, marital status, education, and income, along with a health behavioral characteristic as drinking.
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KEYWORD
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Cancer survivors, Early detection of cancer, Korean National Health and Nutrition Examination Survey
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